Organization Active NPI

San Judas Medical Centers Inc

  • Clinic/Center
  • Hialeah, FL
National Provider Identifier
1346043940
Registry record updated Mar 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SAN JUDAS MEDICAL CENTERS INC
Practice address
1255 W 46TH St Ste 3
Hialeah, FL 33012-3257
Phone
(786) 718-8282
NPI assigned
Mar 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Anisley TrejoNPI 1669038774
Title
President
Phone
(786) 718-8282

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1255 W 46TH St Ste 3
Hialeah, FL 33012-3257

Mailing address

1255 W 46TH St Ste 3
Hialeah, FL 33012-3257
Phone (786) 718-8282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250416002845 FL Part B Supplier - Clinic/Group Practice 0749705390 Receives reassigned benefits from 2 practitioners
Practice locations: Miami, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2328595San Judas Medical Centers Inc1255 W 46TH Street Suite 3-4, Hialeah, FL 33012Certificate of waiverAug 12, 2027

National Provider Directory

National Provider Directory

Locations

1255 W 46th St
Ste 3
Hialeah, FL 33012
Phone (786) 718-8262

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1743206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743206400000",
    "number": "1346043940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 W 46TH ST STE 3",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123257",
            "telephone_number": "786-718-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 W 46TH ST STE 3",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123257",
            "telephone_number": "786-718-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JUDAS MEDICAL CENTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-29",
        "last_updated": "2025-03-29",
        "certification_date": "2025-03-29",
        "status": "A",
        "authorized_official_last_name": "TREJO",
        "authorized_official_first_name": "ANISLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-718-8282"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.